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Whilst off-the-shelf programmes are inevitably influential, there are strong arguments for including local elements in programme design and content and for ensuring that those who will be both delivering and receiving the intervention contribute to its development.
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'Zhang and Zhang had 19 elements in their programme,' he explains, '18 of which they did very well.
"We want the city deal to deliver but... we do not believe it will without a radical overhaul, of the projects in particular". The council hopes to continue with some elements in the programme, such as the Homes for Power Stations and the Steel Science project.
The inclusion of affective engagement and motivational elements in the programme may be as important as the knowledge imparted about good management practice.
Our stepped before and after design reduces the risk of bias, 39 and the analysis therefore emphasises the need for caution in attributing the reduction in infection rates to specific elements in the programme.
Thus, WERO will be evaluated using a multi-method approach consisting of a pre-test post-test design to assess effectiveness and a process evaluation to assess the contribution of the included effective elements in the programme and participants' progress and motivation.
MEPs also re-allocate the budget to different elements in the programme, offering pre-school and early education staff, young athletes and sport coaches the option to participate in mobility schemes.
Ofcom said that a number of elements in the programmes gave cause for concern, including "frequent and very positive comments about the products being featured".
"The prime minister's got to act in the national interest to give the protection to people of this country that they need and deserve from horrible attacks of this kind, and I think the Communications Data Bill could be an important element in that programme".
We make recommendations on the inclusion of context as an important element in CHW programme design and future research.
Realist review casts each element in this programme theory in terms of the contextual influences (C) (e.g. mothers engaged in a locally developed educational process) that trigger a mechanism (M) (learning hygiene skills and understanding their importance) that results in the desired outcome (O) (mothers washing their hands after defecation or cleaning a child and before preparing food).
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